NPIMap

Individual provider Active NPI

Srivalli Konduri, M.D.

  • Family Medicine Physician
  • Andover, MA
National Provider Identifier
1417187386
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
248760 Issued in MA
Practice address
140 Haverhill Street
Andover, MA 01810
Phone
(978) 470-1616
Fax
(978) 470-8166
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 248760 MA Primary

Addresses

Primary practice location

140 Haverhill Street
Andover, MA 01810

Mailing address

P.O. Box 760
Winchester, MA 01890
Phone (781) 756-7274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000296 MA Practitioner - Family Practice 6800063587 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charter LTC LLCGroup PAC ID 0840674578, 20 clinicians
Charter Health PCGroup PAC ID 1153604079, 26 clinicians

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

55 Highland Ave
Suite 304
Salem, MA 01970-2100
Phone (978) 354-4611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
248760MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Mar 1, 2014 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC CurrentSince Mar 1, 2021 Accepting new patients
Charter Health PC CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates, Inc Family Medicine CurrentSince Aug 11, 2014 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Oct 1, 2022 Accepting new patients
Charter LTC LLC CurrentSince Dec 1, 2024 Accepting new patients
Winchester Physician Associates Past Accepting new patients

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

1 Harbison Way
Ste 222
Columbia, SC 29212

Interoperability endpoints

  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: konduri.srivalli.nsmc@direct.partners.masshiway.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1417187386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 760",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "01890",
            "telephone_number": "781-756-7274",
            "fax_number": "781-721-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL STREET",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "01810",
            "telephone_number": "978-470-1616",
            "fax_number": "978-470-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDURI",
        "first_name": "SRIVALLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "248760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.